National Provider Identifier
Vicky Cochran
Vicky Cochran is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Pekin, IL and a listed phone number of (309) 347-5579.
Source: public NPPES record, last updated May 19, 2021. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1073187514
- Provider Type
- Individual
- Primary Specialty
- Addiction (Substance Use Disorder) Counselor
- Enumeration Date
- May 19, 2021
- Last Updated
- May 19, 2021
Practice Location
- 3248 Vandever Ave
- Pekin, IL 61554-6274
Phone: (309) 347-5579
Specialties
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
Endpoints
- scampen@tazwoodmhc.org
Connect Url | Pekin, IL 61554
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Biography
Vicky Cochran is a Pekin, Illinois behavioral health provider whose CMS profile lists her in addiction counseling and associates her practice contact information with the Tazwood Mental Health Center domain. Stronger public details such as formal training, board certification, faculty roles, research, or leadership positions were not available from official sources.
Full Record
- NPI
- 1073187514
- Entity Type
- Individual
- Last Name
- Cochran
- First Name
- Vicky
- Provider Other Last Name
- Smith
- Provider Other First Name
- Vicky
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 3248 Vandever Ave
- Mailing City
- Pekin
- Mailing State
- IL
- Mailing ZIP Code
- 61554-6274
- Mailing Country
- US
- Mailing Phone
- (309) 347-5579
- Practice Street Address
- 3248 Vandever Ave
- Practice City
- Pekin
- Practice State
- IL
- Practice ZIP Code
- 61554-6274
- Practice Country
- US
- Practice Phone
- (309) 347-5579
- Enumeration Date
- May 19, 2021
- Last Updated
- May 19, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- May 19, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
- Other Identifiers
- 101YA0400X (Taxonomy)